Pes Anserine Bursitis

Pes Anserine Bursitis is a condition characterized by inflammation of the pes anserine bursa, a small, fluid-filled sac located between the shinbone (tibia) and the tendons of the hamstring muscles on the inner side of the knee. This bursa reduces friction between the tendons and the bone.

Causes

Pes Anserine Bursitis is often caused by overuse, particularly in activities that involve repetitive knee movements, such as running or climbing stairs. Other contributing factors include:
– Improper training techniques: For example, not stretching properly before exercising.

– Obesity: Excess weight can place additional stress on the knees.
– Knee osteoarthritis: Degenerative changes in the knee joint can increase the risk of bursitis.
– Muscle imbalances or tightness: Tight hamstrings or weak inner thigh muscles can put extra stress on the area.

Symptoms

Common symptoms include:
– Pain on the inner side of the knee, particularly when climbing stairs or getting up from a seated position.

– Tenderness to the touch in the affected area.
– Swelling or inflammation near the inner knee.
– Decreased range of motion in the knee due to pain.

Diagnosis

Diagnosis is typically made through a combination of a physical exam and patient history. A doctor may press on the area to check for

tenderness and might also order imaging tests like X-rays or MRIs to rule out other conditions.

Treatment

Treatment often includes:
1. Rest and Activity Modification: Avoid activities that exacerbate the pain.
2. Ice Application: Applying ice packs to the affected area can help reduce inflammation.
3. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): These can help manage pain and inflammation.

4. Physical Therapy: Stretching and strengthening exercises can improve flexibility and reduce pressure on the bursa.
5. Corticosteroid Injections: In some cases, an injection into the bursa can reduce inflammation.
6. Weight Management: For overweight patients, losing weight can alleviate stress on the knee.

Prevention

Preventive measures include proper warm-up before physical activities,

maintaining a healthy weight, and strengthening the muscles around the knee to reduce stress on the area.

If symptoms persist despite conservative treatment, it’s important to consult with a healthcare provider for further evaluation and possible interventions.

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